NONE
NPI 1639561194
Community/Behavioral Health in Cherryville, NC

NPI Status: Active since February 20, 2015

Contact Information

2134 CAPERNIUM RD
TR#2
CHERRYVILLE, NC
ZIP 28021
Phone: (704) 769-4075
Fax: (704) 769-4136

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  • Organization
  • Community/Behavioral Health

About NONE

This page provides the complete NPI Profile along with additional information for None, a provider established in Cherryville, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1639561194 assigned on February 2015. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as None. The authorized official of this NPI record is Mrs. Annette William Burston Bs, M.ed (Partner Owner)

NPI
1639561194
Provider Legal Name
SUCCESSFUL MINDS, LLC
Other Organization Name
NONE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2134 CAPERNIUM RD TR#2 CHERRYVILLE, NC 28021
Location Phone
(704) 769-4075
Location Fax
(704) 769-4136
Mailing Address
2134 CAPERNIUM RD TR#2 CHERRYVILLE, NC 28021
Mailing Phone
(704) 769-4075
Mailing Fax
(704) 769-4136
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2015
Last Update Date
02-20-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License State
NC
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1252Y00000XAgencies

Early Intervention Provider Agency

(NC)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. ANNETTE WILLIAM BURSTON BS, M.ED

Authorized Official Title
PARTNER OWNER
Authorized Official Phone
(704) 431-8100

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639561194
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691062118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 0 + 6 + 2 + 1 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1639561194 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639561194, enumerated as an "organization" on February 20, 2015.

The provider is located at 2134 CAPERNIUM RD TR#2 CHERRYVILLE, NC 28021 and the phone number is (704) 769-4075.

Community/Behavioral Health with taxonomy code 251S00000X.